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Contact Information

SCOTT A DEPPE, MD
3204 MEADOWOOD LN
GREAT FALLS, MT59404-5616
 Phone: 269-615-2454
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Critical Care Medicine

207RC0200X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SCOTT A DEPPE · (Male)

NPI Number 1437131422
Status Active
Credentials MD
Entity Individual
Enumeration date 11/16/2005
Last updated 12/04/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 0442921
  • MT License # 68318
  • SD License # 7889
  • TX License # G9448
  • VA License # 0101268966
  • WA License # MD60638958
  • GA Medicaid 000666949B
  • SC Medicaid G40047
  • SD Medicaid 5620080
  • TX Medicaid 376788101
  • TX Other 602952YMAF MEDICARE
  • TX Other P01927552 MEDICARE RAIL ROAD
  • TX Other 75-2616977-042 TRICARE
Hospital affiliation(s)
  • ST CLARE'S HOSPITAL OF WESTON INC - (Acute Care)
    3400 MINISTRY PARKWAY
    WESTON, WI 54476
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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